Class action against tobacco companies

If you need the Health Insurance Number of a tobacco victim, you must file a request for access to information for a deceased person. Find out more

1 Identité de l’enfant
2 Coordonnées de l’enfant au Québec
3 Identité du responsable de la demande
4 Séjour de l’enfant au Québec
5 Précisions sur le séjour de l’enfant au Québec
6 Next
7 Fin

Register for health insurance for a temporary stay: Child

Unless otherwise indicated, you must answer all questions.

Identity of the child

First name

For multiple first names, please indicate the most commonly used.

Last name at birth

Date of birth

Example: Thirty-one, then slash, then zero one, then slash, then two thousand, five

Sex

Female

Male

Social insurance number in Canada (optional)

Example: Three nines, followed by three nines, followed by three nines

app.